October 18, 2001

House Committee Meets In Memphis To Discuss State's Nursing Home Issues

Several area witnesses painted a problematic picture regarding the future of the nursing home industry for members of the House Select Committee on Nursing Home Care, which met at the Memphis Theatre October 15.

Representatives from several local care centers spoke to the 10-panel committee chaired by First District State Representative Sam Berkowitz. They discussed several troubling issues including declining revenue, deficit Medicaid reimbursement, shrink-ing labor force and growing governmental regulations.

Richard Dunn of the Department of Health and Senior Services told the committee of the state's 1,200 nursing homes and the likely impact that a growing senior citizen population will have on the industry. He noted there are currently as many as 21,000 empty beds in nursing homes and residential care facilities in the state.

"That creates a false sense of security as we will be pressed for services as the growing senior population arrives," Dunn stated.

Currently Missouri is home to 950,000 seniors. Dunn stated this number will more than double to two million seniors in the next three or four years. Currently seven percent of the senior population is in nursing homes. To meet these estimated numbers in the future, either the number of nursing home beds must rise or the percentage of seniors residing in nursing homes must drop to four percent.

In addition to the growing senior population, Dunn also pointed to a need for change in the industry, which is still often based on a 30-year old model.

"We must help our industry become better," Dunn said. "Thirty years ago we began to see the evolution of nursing home services when Medicaid really kicked in. At that time the services were predominantly provided to those who weren't really sick. These programs worked then, but now we must consider higher levels of care and specialized services for the greater needs of a growing number of patients."

Dunn explained the shift in care provided by nursing homes over this period, noting that a large number of residents in nursing homes likely would have been patients at hospitals 30 years ago and not in a residential care facility.

"Residents are living longer which poses greater challenges to meet all the needs of the patients," Dunn said. "The old model was not designed to accommodate the special needs and high medical service require-ments that we are seeing."

Now the service provided by nursing homes of old is being provided at home through home health care agencies. Now most residents are not entering nursing homes until they are forced to for medical reasons.

"We can't destroy the system, we simply must make it better," Dunn said. "We must introduce new techniques for new seniors that are going to be needing care in the future. We definitely have gained the ability to prolong life. Now we must be able to prolong the quality of life as well."

Carol Rodriguez testified to the committee regarding the biggest increasing specialization of care area, Alzheimer's Disease. She informed the committee members of the 100,000 Missourians that suffer from the disease. The numbers reach four million in the United States and are expected to grow to 14 million in the recent future.

Rodriguez stated the dramatic increase can be traced to the figures presented by Dunn regarding the rapidly increasing seniors population. She said that half of the nation's population over the age of 85 suffer from some form of dementia.

Alzheimer's Disease creates a large problem for the nursing home industry because of the nature of the illness. The average Alzheimer's patient lives for eight years after diagnosis with many living as much as 20 years.

Rodriguez also pointed out the growing cost of serving these residents. The average expense is $174,000 per individual.

She also pointed to home care issues, indicating as many as 70 percent of Alzheimer's patients are cared for at home, at least in the early stages of the disease. She noted that in-home health care, adult daycare and respite care can delay nursing home placement by an average of 300 days.

The number one issue created by the growing Alzheimer's problem is staffing said Rodriguez. There is a growing need for nursing career professionals that are appropriately trained to do the very difficult tasks involved with the disease she noted.

Rodriguez noted that Certified Nursing Assistants (CNAs) is the fastest growing national employment field. However the average national compensation level for CNAs is just $7.56. That compares to an average salary of $8.74 in retailed sales and more than $10 for unskilled factory employees.

Another trouble area noted by Rodriguez was the Medicaid guidelines, specifically the qualifying level that disqualifies anyone with cash assets of more than $1,000. She noted this figure had not been changed in more than 30 years.

Rodriguez gave the committee two recommendations. First, to maintain and maximize the in-home family care option for Alzheimer's patients. Secondly, she suggested the committee make every effort to sustain affordable medical care options for both citizens and the state.

Barbara Primm, of the Lockhead Care Facility in Macon told the committee the quality of care is a direct result of having adequate numbers of well-trained staff. She noted that the number and type of staff need to be related to care needs not just the number of patients.

Primm also addressed the state's quality control measures. She noted the state's survey process is often adversarial. She questioned why the survey process does not scrutinize the poorer facilities and leave the good ones alone.

The industry is facing a shortage of nurses that is comparable to what the education field is experiencing with a lack of teachers, Primm told the committee. She suggested making assistance available for education, transportation and childcare needs of prospective nursing employees. Primm also suggested lowering the restriction from 18 to 17 years of age to earn a CNA degree.

Currently CNA training goes on either in the nursing facility or in an area vocational technical school. It requires 75 classroom hours as well as 100 hours of on the job training.

The final main topic of discussion was the declining Medicaid reimbursement numbers for nursing homes. Robert Seamster, administrator of the Schuyler County Nursing Home told the committee that a recent study of care centers across the Midwest noted an average loss of $8.91 per day, per Medicaid patient.

He noted that much of the problem lies in the fact the maximum rates were set in 1995 and were based on 1992 cost reports.

He also cited a price index study that revealed a 22.4 percent increase in the consumer price index between 1984-89. During that same period the medical price index increased by 41.7 percent. Yet Seamster noted the Medicaid rate only increased 13.5 percent over that time frame.

Seamster told the committee that the Medicaid system must be looked at to allow nursing homes at least the ability to break even.

Lady Tigers Drop Two of Three at Schuyler Tourney

 

Maddie Brassfield slides into second base.

Maddie Brassfield slides into second base.

After dropping two of three games at the Schuyler County Tournament on Saturday, the Scotland County softball program returned from Lancaster under the .500 mark on the season with a 7-8 record.

SCR-I got off to a  horrible start Saturday morning. After leaving the bases loaded in the top of the first, Knox County jumped out to a 5-0 lead in the bottom of the frame, taking advantage of a pair of SCR-I errors as well as a home run.

Chelsea Wood singled and Stevi See walked with two outs in the third inning before Ashleigh Creek cracked a triple to trim the deficit to 5-2.

Another two-out rally in the sixth inning made the final score 5-3. Kaylyn Anders singled and scored when Abby Blessing reached on an error.

Creek pitched six innings, allowing just one earned run on seven hits and a walk while striking out five.

Wood went 2-3 with a walk and a run scored. Creek was 1-2 with two RBIs.

In game two, freshman Kaitlin McMinn got her first varsity pitching victory as SCR-I rallied for a 9-5 win over Brashear.

SCR-I fell behind 4-0 before Wood and See singled in the third and scored on a two-run hit by Creek.

The fifth inning put SCR-I over the top as Abi Feeney reached on an error and scored on a double by Wood. Creek added an RBI triple before Maddie Brassfield was hit by a pitch and scored on a base hit by Abby Blessing to make the score 6-5.

Creek took over in relief and notched the save with two scoreless innings of work.

Abby Blessing fires in a throw from center field.

Abby Blessing fires in a throw from center field.

SCR-I tacked on three more runs in sixth. Wood and See singled in front of a three-run homer by Creek to make the final score 9-5.

McMinn allowed two earned runs in four innings of work on four hits and three walks.

Creek struck out four in two innings of relief. She was 3-4 at the plate with six RBI and finished a single short of the cycle after hitting a double, triple and homer.

Wood was 3-4 and See went 2-4 as SCR-I finished with 10 hits after a slow start.

The consolation game slipped away from Scotland County as the host team broke a 2-2 tie in the fifth inning en route to the 5-4 win.

Schuyler County took a 2-0 lead in the second inning on an SCR-I error.

Abi Feeney singled and came in to score when Wood reached on an error to trim the deficit to 2-1.

Creek singled in the fourth inning and courtesy runner Hailey Darcy stole second base and came in to score when Anders reached on an error.

In the sixth, Creek smacked her second homer of the day to trim the lead to 5-3.

Katie Feeney squeezes a throw at first base on the bunt attempt.

Katie Feeney squeezes a throw at first base on the bunt attempt.

Julie Long reached on an error to start the seventh and pinch runner Khloe Hamlin stole second before scoring when Abi Feeney reached on an error. Wood doubled but SCR-I stranded the winning run at second base as the Rams held on for the 5-3 win.

Creek took the loss, despite not allowing an earned run. She held Schuyler County to five hits and three walks while striking out seven.

Lady Tigers Knock Off Novinger 15-1

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After a slow start Monday night, the Scotland County softball team came on strong late to close out Novinger 15-1 in five innings of play in Memphis.

Abi Feeney was hit by a pitch to lead off the game and stole second base. She scored on an RBI single to give SCR-I a 1-0 lead.

Stevi See reached on an error and scored on an RBI ground out by Creek in the third to extend the lead to 2-0.

Novinger trimmed the deficit to 2-1 in the top of the fourth inning when a walk  led to a run on a wild pitch.

But SCR-I closed the door on any rally with a huge fourth inning that saw the Lady Tigers send 17 batters to the plate en route to scoring 13 runs.

Abby Blessing and Katie Feeney had RBI singles to start the rally before Abi Feeney delivered an RBI triple. Chelsea Wood followed with a double  before Creek drove in another run with a two-bagger. See also contributed an RBI single during the onslaught.

Creek finished off the five-inning no-hitter with a one-two-three inning to record the victory. The junior allowed one run on no hits and three walks while striking out 11.

SCR-I improved to 8-8 on the season with the win.

Rams Outlast Lady Tigers 2-1 In Defensive Battle

Shortstop Abi Feeney makes a throw to first from her knees after one of her several nice defensive plays at Lancaster.

Shortstop Abi Feeney makes a throw to first from her knees after one of her several nice defensive plays at Lancaster.

Tuesday night saw an old-fashioned pitching duel in Lancaster backed up with plenty of defensive gems. Unfortunately for the Lady Tigers, Schuyler County was the last one standing in the 2-1 defeat.

Scotland County took a 1-0 lead in the top of the first. Abi Feeney led off with a walk. With two outs, she was able to score all the way from first base when Ashleigh Creek reached on an error on an errant throw from third base that got by the first baseman.

Schuyler County came right back in the bottom of the frame. The Rams led off the inning with a blooper that landed and died between the pitcher and home plate for an infield single. After a wild pitch and a sacrifice bunt, Megan Haley delivered an RBI ground out to knot the score at 1-0.

After that point, pitchers Ashleigh Creek and Dystine Priebe locked horns, putting up zeros on the scoreboard.

Ashleigh Creek fields a bunt and fires to Katie Feeney at first base to record the out.

Ashleigh Creek fields a bunt and fires to Katie Feeney at first base to record the out.

SCR-I managed a base runner each inning until the sixth, but was unable to advance anyone past first base. Julie Long singled in the second, but was stranded. Stevi See and Abby Blessing walked in the third and fourth innings before Abi Feeney got a base hit in the fifth, but Priebe worked out of the jams, in large part thanks to nine strikeouts.

Her defense helped out a bit, as center fielder Brooke Whitton made a fine running grab in deep center field to rob Creek of extra bases in the third and Haley made a nice catch to rob Chelsea Wood of a hit in the fifth.

Creek matched the zeroes, albeit with a little more effort, struggling a bit with wild pitches that had the Lady Rams with runners in scoring position every inning.

Priebe singled and moved to second on a wild pitch in the second inning. Abi Feeney ended the threat with a diving grab on a line between short and third base.

The senior shortstop made back-to-back put outs in the third to leave a runner at third base. Maddie Brassfield then made a defensive gem at first base to end the threat in the fourth.

Schuyler County finally broke through for the winning run in the fifth inning. A leadoff single followed by a passed ball and a wild pitch allowed the Rams to score on a sacrifice fly.

Long smacked a one-out single in the seventh, her second hit of the contest, but Priebe closed out the rally to secure the 2-1 win for Schuyler County.

Scotland County fell to 6-5 on the season and 4-3 in the Lewis & Clark Conference.

Creek pitched six innings and allowed two runs, one earned on five hits and no walks while striking out three.

Priebe held SCR-I to just three hits and three walks over seven innings, surrendering just the one unearned run.

Rutledge School Building Sold

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The Village of Rutledge sold the school to the Restoration Society for $1.00 on Tuesday, September 20th at 12:00 p.m.  Those at the closing were Society members L to R Lyle Otte, Reva Hustead, Charlene Montgomery, Gwen Ludwick, Bob Hunolt, Dorothy Hunolt, Elaine Forrester, Betty Lodewegan, Lynn McClamroch,  (Keith Zimmerman and Carol McCabe from the Village) and Leon Trueblood.

Grand Hall Singspiration in Memphis

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The Rabers, part of the By Grace Ministry, will be hosting a Grand Hall Singspiration in Memphis at the Grand Hall, across from the BP Station, 418 E. Grand, on Sunday, October 2nd at 7:15 p.m.  They are also hosting a Men of Valor men’s meeting on Monday, October 3rd at 7:15 p.m.  Everyone is welcome and admission is a free will offering.  For more information about the By Grace Ministry, visit www.bygraceministry.com.

Area Children Enjoy Games at Annual Rutledge Fall Festival

The annual Rutledge Fall Festival was held Saturday, September 17th and several area children enjoyed participating in various games.  Karl DeMarce emceed the games this year.

Balloon Toss winners in the six to eight division included Trevor and Evan Tague (1st), Kadence Burnett (2nd), and Craig Pflum and Cole Mazziotti and Nina Knepp (tied for 3rd).  In the nine and over division winners were Owen and Lucas Durflinger (1st), Hunter Holt and Aden Aldridge (2nd), and Aaron McDaniel and Hugh Baker (3rd).

Shoe Kick winners in the five and under division were Natalie Tague (1st), Travis Tague (2nd), and Ethan Pflum (3rd).  In the six to eight division winners were Evan Tague (1st), Cole Mazziotti (2nd), and Nina Knepp, Trevor Tague and Cole Pflum (3rd).  In the nine and over division winners were Owen Triplett (1st), Riley Small (2nd), and Lucas Durflinger (3rd).

Running Race winners in the five and under division were Landon Davis (1st), Kinze Mallett and Travis Tague (2nd), and Natalie Tague (3rd).  In the six to eight division winners were Kaden See (1st), Cole Mazziotti (2nd), and Evan Tague and Nina Knepp (3rd).  In the nine and over division winners were Owen Triplett (1st), Hunter Holt (2nd), and Lucas Durflinger (3rd).

Egg Race winners in the five and under girls’ division were Kenzie Mallett (1st), Nora Guthrie (2nd), and Natalie Tague (3rd).  In the boys’ division winners were Travis Tague (1st), James Guthrie (2nd), and Clay White (3rd).  In the six to eight girls’ division, winners were Natalie Howerton (1st), Kayla Pflum (2nd), and Tegan Mallett (3rd).  Boys’ division winners were Trevor Tague (1st), Kadence Burnett (2nd), and Craig Pflum (3rd).  In the nine and over division, winners were Braydon Tietjens (1st), Aden Aldridge (2nd), and Owen Triplett and Lucas Durflinger (3rd).

Afternoon games included a Kiddie Tractor Pull, Tug-of-War Race and the Shirley Chancellor Memorial Hot Cookie Race.

SCR-I School Menus

Breakfast

Thursday, Sept. 29 – Breakfast Burrito, Choice of Cereal, Toast/Jelly, Orange Wedge/Grapes, Juice/Milk

Friday, September 30 – Sausage/Gravy Biscuits, Choice of Cereal, Blueberry Muffin, Banana, Juice/Milk

Monday, October 3 – Waffles, Choice of Cereal, Cinnamon Biscuit, Apple Wedges, Juice/Milk

Tuesday, October 4 –Cinnamon Rolls, Choice of Cereal, Toast/Jelly, Orange Half, Juice/Milk

Wednesday, October 5 – Ham/Cheese/Croissant, Choice of Cereal, Toast/Jelly, Fruit Medley, Juice/Milk

Thursday, October 6 – Breakfast Burrito, Choice of Cereal, Toast/Jelly, Orange Wedge/Grapes, Juice/Milk

Lunch

Thursday, Sept. 29 – Spaghetti/Meat Sauce, Chicken Wrap, Hamburger Bar, Green Beans, Garlic Bread, Sliced Peaches, Fresh Fruit

Friday, September 30 – Sack Lunch Today – HOMECOMING

Monday, October 3 – Chicken Ala King/Biscuit, Juicy Burger/Bun, 5th/6th Grade Chef Salad, Onion Rings, Peas, Mandarin Orange Slices, Fresh Fruit

Tuesday, October 4 – Cheeseburger/Bun, Tenderloin/Bun, 5th/6th Grade Taco Bar, Oven Ready Fries, Tomato Slices and Pickles, Applesauce, Fresh Fruit

Wednesday, October 5 –Country Fried Steak, Chicken Alfredo, 5th/6th Grade Potato Bar, Whipped Potatoes/Gravy, Broccoli/Cheese Sauce, Dinner Roll, Sliced Pears

Thursday, October 6 – Beef ‘N’ Tator Bake, Chicken Wrap, Hamburger Bar, Green Beans, Dinner Roll, Pineapple Tidbits, Fresh Fruit

Scotland County Senior Nutrition Center

MENU

Thursday, Sept. 29 – BBQ or Plain Pork/Bun, French Fries, Cauliflower Blend Veggies, Mandarin Oranges, Cake

Friday, September 30 – Hot Beef Sandwich, Mashed Potatoes/Gravy, Coleslaw, Buttered Carrots, Pudding

Monday, October 3 – Juicy Burger/Bun, French Fries, Mixed Vegetables, Cottage Cheese, Peaches

Tuesday, October 4 – Roast Pork/Stuffing/Gravy, Sauerkraut, Green Beans, Slice Bread, Cake

Wednesday, October 5 – Chicken Strips, Mashed Potatoes/Gravy, Buttered Carrots, Hot Roll, Fruit Salad

Thursday, October 6 – Meatloaf, Macaroni Salad, Buttered Broccoli, Applesauce, Bread, Glazed Donut

ACTIVITIES

Thursday, Sept. 29 – Card Party at 5:00 p.m.

Thursday, October 6 – Card Party at 5:00 p.m.

Special 100-Year Homecoming Services This Weekend at First Christian Church

The Memphis First Christian Church will be hosting Homecoming Services to celebrate the completion of the current church building (located on corner of Jones and Main Streets) which was completed in 1916.  The celebration will take place this weekend –  September 30- October 1-2, 2016.

Phillip Gore and Tim Hawkins former ministers of the Memphis First Christian Church will be the speakers for the Sunday, October 2, morning worship service, and former Memphis resident Terry Rush will speak at the closing service on Sunday afternoon.  Following the morning service, there will be a luncheon served.

There will also be services on Friday, September 30, beginning at 7:00 with a “Linger Longer” fellowship time after the service.  On Saturday, October 1, there will be a barbecue at 5:00 with services beginning at 6:30.

Special music for the services will be provided by the Gateway Singers and Paul Burton and Mercy’s Bridge Band, a country gospel group.  The Planning Committee for the Church Homecoming Celebration will share historical information about First Christian Church as part of the three special services.

Members of the community are cordially invited to attend all of the services and meals for the celebration.

Mayor Reckenberg Proclaims Constitution Week, Sept. 17 – 23, 2016 in Memphis

Memphis Mayor William Reckenberg was joined by members of the Jauflione Chapter of the NSDAR to sign a proclamation declaring Constitution Week in Memphis.

Memphis Mayor William Reckenberg was joined by members of the Jauflione Chapter of the NSDAR to sign a proclamation declaring Constitution Week in Memphis.

On Friday, September 23, 2016, Mayor William Reckenberg signed and issued a proclamation announcing September 17 through 23, 2016 to be Constitution Week in Memphis, and asks our citizens to reaffirm the ideals the Framers of the Constitution had in 1787.

The Proclamation reads as follows:

Whereas, September 17, 2016 marks the two hundred and twenty-ninth anniversary of the drafting of the Constitution of the United States of America by the Constitutional Convention; and

Whereas, it is fitting and proper to officially recognize this magnificent document and the anniversary of its creation; and

Whereas, it is fitting and proper to officially recognize the patriotic celebrations which will commemorate the occasion; and

Whereas, public law 915 guarantees the issuing of a proclamation each year by the President of the United States of America designation September 17 through 23 as Constitution Week;

NOW THEREFORE, I, William Reckenberg, by virtue of the authority vested in me as Mayor of the City of Memphis in the County of Scotland do hereby proclaim September 17 through 23, 2016 as CONSTITUTION WEEK and ask our citizens to reaffirm the ideals the Framers of the Constitution had in 1787 by vigilantly protecting the freedoms guaranteed to us through this guardian of our liberties, remembering that lost rights may never be regained.

IN WITNESS WHEREOF, I have hereunto set my hand and caused the Seal of Memphis to be affixed this twenty-third day of September in the year of our Lord two thousand sixteen.

The United States Constitution stands as a testament to the tenacity of Americans throughout history to maintain their liberties and freedoms and to ensure those unalienable rights to every American.

In 1955 the Daughters of the American Revolution (DAR) petitioned the Federal Government to dedicate September 17-23 as Constitution Week.  Congress adopted the resolution and on August 2, 1956, President Dwight D. Eisenhower signed it into Public Law 915.  DAR Chapters have been observing Constitution Week various ways since then.  The local Chapter, Jauflione, places a display in a store window to remind the public of the Constitution and its significance to our way of life.  The city Mayor also issues a proclamation declaring Constitution Week.  This is an annual reminder of the inalienable rights the Constitution affords all Americans.

The aims of the celebration are to:  (1) Emphasize citizen’s responsibilities for protecting and defending the Constitution, (2) Inform people that the Constitution is the basis for American’s great heritage and the foundation for our way of life and (3) To encourage the study of the historical events which led to the framing of the Constitution in September 1787.

Written in 1787, the Constitution was signed September 17th.  But it wasn’t until 1788 that it was ratified by the necessary nine states.

The Constitution is a living document, being amended 27 times.  Of the written national constitutions, the U.S. Constitution is the oldest and shortest.

Jauflione Chapter, NSDAR helps keep alive the memory of the men and women who secured the Nation’s independence, whose bravery and sacrifice made possible the liberties Americans enjoy today.

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